title: Off-pump coronary artery bypass grafting for a left main lesion due to cardiac allograft vasculopathy in Japan: first report of a case.
abstract: Cardiac allograft vasculopathy (CAV) is a major cause of mortality after transplantation. We treated a 44-year-old female with off-pump coronary artery bypass grafting (OPCAB) 4 years after heart transplantation. Annual examinations, including coronary angiography and intravenous ultrasound (IVUS), revealed a severe lesion in the left main trunk. The left internal mammary artery was successfully anastomosed to the left anterior descending artery in an off-pump manner. To ensure that patients have a good long-term outcome after heart transplantation, routine examinations, including IVUS, are crucial, because of the nature of CAV. OPCAB is a good option for a left main trunk lesion due to CAV.
authors.affiliation: Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan, tomofujita@nifty.com.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Fujita
authors.forename: Junjiro
authors.initials: J
authors.lastname: Kobayashi
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hata
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Murata
authors.forename: Osamu
authors.initials: O
authors.lastname: Seguchi
authors.forename: Masanobu
authors.initials: M
authors.lastname: Yanase
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Shimahara
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Sato
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nakatani
mesh_terms: D064591:Allografts; D000714:Anastomosis, Surgical; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000175:diagnosis*; D005260:Female; D016027:Heart Transplantation; D006801:Humans; D007564:Japan; D008323:Mammary Arteries / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis*; D018084:Ultrasonography, Interventional